AURORA MEDICAL GROUP BROWN COUNTY DIALYSIS
NPI 1477600849
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Green Bay, WI
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
About AURORA MEDICAL GROUP BROWN COUNTY DIALYSIS
This page provides the complete NPI Profile along with additional information for Aurora Medical Group Brown County Dialysis, a provider established in Green Bay, Wisconsin operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1477600849 assigned on January 2007. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Aurora Medical Group Brown County Dialysis. The authorized official of this NPI record is Jeffery Bailet (President)
- NPI
- 1477600849 Verify this NPI
- Provider Legal Name
- AURORA MEDICAL GROUP INC
- Other Organization Name
- AURORA MEDICAL GROUP BROWN COUNTY DIALYSIS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1751 DECKNER AVE GREEN BAY, WI 54302
- Location Phone
- (920) 465-0430
- Location Fax
- (920) 465-1311
- Mailing Address
- 5200 VIRGINIA WAY 4TH FLOOR L&C DEPT BRENTWOOD, TN 37027
- Mailing Phone
- (615) 320-4521
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-05-2007
- Last Update Date
- 09-22-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332BD1200X | Suppliers | Durable Medical Equipment & Medical Supplies |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1477600849 | MEDICAID (05) | WI | |
| 522552 | MEDICARE OSCAR/CERTIFICATION (06) | WI |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
GREEN BAY, WI 54302
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477600849, enumerated as an "organization" on January 05, 2007.
The provider is located at 1751 DECKNER AVE GREEN BAY, WI 54302 and the phone number is (920) 465-0430.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
